Nicole R Meyers, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102391 Issued in MN

Practice address

717 S State St
Suite 900
Fairmont, MN 56031-4469

Phone

(507) 238-4949

Fax

(507) 238-3377

NPI assigned

Jan 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole R Mair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386615524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E 13TH ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132611",
            "telephone_number": "507-526-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST",
            "address_2": "SUITE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314469",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "30D04ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MAIR",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mayo Clinic Health System-Fairmont
• Mayo Clinic Hospital-Rochester
• Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Fairmont)
• Susan A McCollough, M.D.
• Samuel Meals, M.D.
• Paige Lynne Meyers, APRN
• Amber J Michael, OTR/L
• Midwest Anesthesia Services, LLC
• Midwest Vision Centers Inc (Midwest Vision Centers)
• Andrea Lynn Miller, PT, WCC, CLT

• Occupational Therapist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.